获得卓越称号的途径,护士工作环境和医院质量和安全:一项多州医院研究
Hyunmin Yu1,2, J Margo Brooks Carthon1,2, Linda H Aiken1,2
1Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Research in nursing & health
|January 7, 2026
概括
卓越之路计划与更好的护士工作环境和患者安全有关. 获得Pathway指标的医院显示了更好的护理质量和更高的护士建议,突出了积极实践环境的重要性.
科学领域:
- 护理管理的护理管理.
- 改善医疗保健质量 改善医疗保健质量
- 组织心理学 组织心理学
背景情况:
- 美国护士认证中心的"通向卓越"计划确定了拥有卓越护理实践环境的医院.
- 存在有限的证据,将路径指定与可测量的护士报告结果联系起来.
- 了解这种联系对于旨在改善护理实践环境和患者护理的医疗保健组织至关重要.
研究的目的:
- 调查"通向卓越之路"认定与护士报告的结果之间的关联.
- 确定Pathway医院与非Pathway医院相比是否表现出优越的工作环境,护理质量,患者安全和医院建议.
- 提供证据支持促进积极的护理实践环境的价值.
主要方法:
- 一项横截面研究,整合了来自宾夕法尼亚州2024年护士4所有研究和美国医院协会年度调查的数据.
- 包括来自美国10个州的1672家医院的16979名直接护理护士.
- 多层线性和逻辑回归模型被用来分析路径状态和护士报告的结果之间的关联,控制相关变量.
主要成果:
- 路径医院报告说,工作环境明显更有利,特别是在响应式管理和明确的护理理念方面.
- 在Pathway医院观察到更积极的患者安全气候,包括更好地报告错误和领导优先考虑安全.
- 在Pathway医院的护士更有可能将他们的工作环境和护理质量评为优秀/好,并推他们的医院.
结论:
- "通向卓越之路"的认定与护士报告的工作环境的改善,患者安全气候的改善和更高的护理质量有关.
- 正如路径计划所承认的,积极的护理实践环境在提供高质量和更安全的患者护理方面发挥着至关重要的作用.
- 这些发现支持Pathway计划作为寻求培养优秀护理实践环境和改善患者结果的医院的有价值框架.
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